ELENA M DE JESUS MD NPI 1003873969

Obstetrics & Gynecology in Toa Baja, PR

About ELENA DE JESUS

Elena De Jesus is a provider in Toa Baja, PR. The NPI number assigned to this provider is 1003873969. The practitioner's primary taxonomy code is Obstetrics & Gynecology (207V00000X). The provider is registered as an individual and their NPI record was last updated 0 years ago.

NPI1003873969 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name ELENA M DE JESUS MD
Provider Location Address2823 AVE DOS PALMAS URB. LEVITTOWN TOA BAJA, PR 00949 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address8058 PLAZA GAVIOTAS URB CAMINO DEL MAR TOA BAJA, PR 00949 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-26-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date06-26-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ELENA M DE JESUS MD
2823 AVE DOS PALMAS
URB. LEVITTOWN
TOA BAJA, PR
ZIP 00949
Phone: (787) 795-3260
Fax: (787) 795-1225
Get Directions

Mailing Address

ELENA M DE JESUS MD
8058 PLAZA GAVIOTAS
URB CAMINO DEL MAR
TOA BAJA, PR
ZIP 00949
Phone: (787) 795-3260
Fax: (787) 795-1225

Primary Taxonomy

Taxonomy Code207V00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.11043
License StatePR
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5710OTHER (01)PR
83411OTHER (01)PR
F72193MEDICARE UPIN (02)PR
9490009OTHER (01)PR

Map Location


ELENA M DE JESUS MD address is 2823 AVE DOS PALMAS URB. LEVITTOWN TOA BAJA, PR 00949